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Neck Rejuvenation Revisited

Rohrich, Rod J. M.D.; Rios, Jose L. M.D.; Smith, Paul D. M.D.; Gutowski, Karol A. M.D.

Plastic and Reconstructive Surgery: October 2006 - Volume 118 - Issue 5 - p 1251-1263
doi: 10.1097/01.prs.0000209406.80690.9f
Cosmetic: Special Topic

Purpose: Restoration of the aesthetic neck contour is an integral component of facial rejuvenation. Multiple deformities of the neck and chin complex can make treatment of the cervical region daunting. An algorithmic approach to neck rejuvenation based on individual anatomic and clinical analysis is prudent. The authors created a simplified anatomic approach to the most common cervical deformities encountered in the patient seeking facial rejuvenation.

Methods: Retrospective analysis of the senior author's (R.J.R.) technique evolution over the last 15 years was performed. The operative techniques used in neck rejuvenation were evaluated and the long-term postoperative results were reviewed.

Results: Recurrent patterns of cervical deformity are present in patients presenting for facial rejuvenation. These patterns can be classified into categories based on specific anatomic deformities.

Conclusions: Facial rejuvenation requires appropriate identification of deformity to effect the desired changes. Cervical deformities are classified into clinically useful categories based on careful preoperative analysis. A thorough understanding of the anatomic bases for the deformities allows the surgeon to choose the appropriate treatments to achieve consistent and reliable results.

Dallas, Texas; Tampa, Fla.; and Madison, Wis.

From the University of Texas Southwestern Medical Center, private practice, and the University of Wisconsin.

Received for publication September 18, 2003; accepted March, 7, 2005.

Rod J. Rohrich, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, E7.212, Dallas, Texas 75390-9132,

©2006American Society of Plastic Surgeons